Publication: Incidence of incidental carcinoma gall bladder in cases of routine cholecystectomy
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Date
2011
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Carcinoma of gall bladder is the most common malignancy of the billiary tract.
Most of the cases are diagnosed as an incidental case among patients undergoing
cholecystectomy.
Objectives
To establish the rate of incidental carcinoma of gall bladder in patients undergoing
routine cholecystectomy to study the demographic profile and prognosis of these
patients.
Methods
A retrospective study was carried out in Fishtail Hospital and Research Center, Pokhara
during 1998-2009. The surgical notes, hospital records and histopathology reports of
783 patients undergoing routine cholecystectomy were studied.
Results
Out of 783 cases, gall bladder cancer was detected in 10(1.28%) of cases and was more
common in females (M:F ratio 1:2.3) and the mean age of occurrence was 63.8 years.
Most of the cases diagnosed were at their early stages and none of them were in T3
and T4 stages. Six of these patients have survived till a mean follow up duration of 23.7
months.
Conclusion
The rate of incidental carcinoma of gall bladder is 1.28%.
KEY WORDS
carcinoma gallbladder, cholecystectomy, incidental
Description
Ghimire P,1,2 Yogi N,1 Shrestha BB1
1Department of Surgery, Manipal Teaching Hospital, Pokhara, Nepal.
2Department of Surgery, Fishtail Hospital and Research Center, Pokhara, Nepal